NPI: 1255778312 · VALRICO, FL 33594 · Assisted Living Facility · NPI assigned 05/30/2013
| Authorized Official | MILLER-CLARKE, MILLICENT (OWNER) |
| NPI Enumeration Date | 05/30/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 68 | $61K |
| 2020 | 53 | $68K |
| 2021 | 164 | $201K |
| 2022 | 172 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 457 | 358 | $415K |